Obstet Gynecol. 2009 Dec;114(6):1428-1431. doi: 10.1097/AOG.0b013e3181c6f922.
Defining the reasons for intervention and the precise goal of treatment are the most critical issues regarding use of interventions to alter menstrual flow in adolescents with disabilities. Reasons for intervention may relate to abnormal uterine bleeding, hygiene, mood issues, fear of pregnancy, and acute onset of other medical conditions. Goals of treatment may include a decrease in the amount of bleeding, periodic amenorrhea, or treatment of symptoms, such as mood issues or dysmenorrhea. First-line treatment options should be safe, minimally invasive, and nonpermanent. Endometrial ablation has not been studied in adolescents, has not been studied longterm, is considered irreversible and, therefore, is not recommended in teenagers.
确定干预的原因和治疗的精确目标是使用干预措施改变残疾青少年月经周期的最关键问题。干预的原因可能与异常子宫出血、卫生、情绪问题、对怀孕的恐惧以及其他医疗状况的急性发作有关。治疗的目标可能包括减少出血量、周期性闭经或治疗症状，如情绪问题或痛经。一线治疗选择应该是安全、微创和非永久性的。子宫内膜消融术尚未在青少年中进行研究，也没有长期研究，被认为是不可逆转的，因此不建议在青少年中使用。
